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MECKLER DENTAL PROVIDERS (GREAT LAKES) INC. NPI 1801859681


NPI Information

NPI: 1801859681
Provider Name: MECKLER DENTAL PROVIDERS (GREAT LAKES), INC.

Doing Business As: ' DENTALWORKS OF GREAT LAKES '

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
36173 EUCLID AVE
WILLOUGHBY, OH
ZIP 44094
Phone: (440) 255-5631
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MECKLER DENTAL PROVIDERS (GREAT LAKES), INC. is a general practice dentist in Willoughby, OH. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MECKLER DENTAL PROVIDERS (GREAT LAKES), INC. NPI is 1801859681. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As ' Dentalworks Of Great Lakes '.

The provider's business location address is:

36173 EUCLID AVE
WILLOUGHBY, OH
ZIP 44094-410
Phone: (440) 255-5631

The provider's authorized official is Rachel Nittinger .
The authorized official title is Manager Credentialing and has the following contact phone number (972) 755-0816.

The enumeration date for this NPI number is 4/11/2006 and was last updated on 3/17/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistNo
21223E0200XDentistEndodonticsNo
31223G0001XDentistGeneral PracticeYes
41223P0221XDentistPediatric DentistryNo
51223P0300XDentistPeriodonticsNo
61223P0700XDentistProsthodonticsNo
71223S0112XDentistOral and Maxillofacial SurgeryNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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